Active NPI 1760738728 Individual Practitioner Male Practitioner

Ryan Park , NP

Nurse Practitioner • Saint Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Park, NP is a certified Nurse Practitioner practicing in Saint Augustine, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Ryan Park delivers high-quality medical care to the local community at 559 W TWINCOURT TRL STE 607-608.

Ryan Park maintains professional affiliations with Solantic Of Jacksonville Llc, Estate Ventures Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

559 W Twincourt Trl Ste 607-608

Saint Augustine, FL 320958805

Telephone 9042303006

Fax 8776388891

Associated Practice Facility / Clinic

🏢 Estate Ventures, Llc Facility NPI 1033505706

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Augustine, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +7.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Saint Augustine, FL (8990 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (14 Years) 14 Yrs

Saint Augustine Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	61	$265.61	$100.03
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$246.55	$74.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$491.28	$139.33
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	19	19	$324.00	$40.55
81003 Automated urinalysis test	15	15	$15.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$327.06	$92.82
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$40.80	$16.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	80	$197.00	$95.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	13	$229.00	$95.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$456.00	$139.63
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$145.00	$71.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	38	$197.00	$92.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	39	$197.00	$91.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	18	$266.00	$144.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	45	$196.80	$84.84
99213 Established patient office or other outpatient visit, typically 15 minutes	88	46	$132.00	$58.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$304.00	$131.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	68	$191.00	$82.44
99213 Established patient office or other outpatient visit, typically 15 minutes	66	38	$129.76	$57.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$297.12	$131.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	68	$191.00	$82.75
99213 Established patient office or other outpatient visit, typically 15 minutes	63	35	$128.00	$56.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	102	$138.78	$55.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	83	$193.18	$82.80
80307 Testing for presence of drug, by chemistry analyzers	51	50	$283.00	$76.93
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	17	17	$699.00	$200.25

Medical Specialties & State Licenses

CMS Verified: 2024-03-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11030031

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License ID NP-1200A

360 E Montvue Dr. Ste 100

Meridian, ID 83642

Phone: 2088552900

1021 Cesery Blvd

Jacksonville, FL 322115609

Phone: 9047432466

57 Town Ct Ste 123

Palm Coast, FL 321642425

Phone: 9042303006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Kai Mcgreevy , MD

Psychiatry & Neurology - Neurology

NPI 1922208610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location March 06, 2024

Registered at 559 W TWINCOURT TRL STE 607-608, SAINT AUGUSTINE, FL 320958805 (Tel: 9042303006)

📍

Updated Business Mailing Address March 06, 2024

Registered at 559 W TWINCOURT TRL STE 607-608, SAINT AUGUSTINE, FL 320958805 (Tel: 9042303006)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2024

Nurse Practitioner (License #APRN11030031 in FL)

📍

Updated Business Mailing Address April 26, 2018

Registered at 1105 2ND ST S, STE 100, NAMPA, ID 836513911 (Tel: 4808621677)

✅

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2013

Registered at 360 E MONTVUE DR. STE 100, MERIDIAN, ID 83642 (Tel: 2088552900)

📍

Updated Business Mailing Address December 06, 2013

Registered at 360 E MONTVUE DR, STE 100, MERIDIAN, ID 83642 (Tel: 2088552900)

👤

Provider Name / Credentials Updated December 06, 2013

Recorded as RYAN PARK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Nurse Practitioner (License #NP-1200A in ID)

🟢

Initial NPI Registration & Enumeration July 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760738728

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2012

Last Update: March 06, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

559 W Twincourt Trl Ste 607-608

Saint Augustine, FL 320958805

Phone: 9042303006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.